Venice Medical & Mental Health Services | |
717 Lincoln Blvd Venice CA 90291-2845 | |
(310) 399-9883 | |
(310) 399-9678 |
Full Name | Venice Medical & Mental Health Services |
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Speciality | Clinic/center - Primary Care |
Location | 717 Lincoln Blvd, Venice, California |
Authorized Official Name and Position | Seanjay Ramanand Sharma (DIRECTOR) |
Authorized Official Contact | 6612546630 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Venice Medical & Mental Health Services Po Box 801809 Valencia CA 91380-1809 Ph: (661) 254-6630 | Venice Medical & Mental Health Services 717 Lincoln Blvd Venice CA 90291-2845 Ph: (310) 399-9883 |
NPI Number | 1114096872 |
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Provider Enumeration Date | 11/07/2006 |
Last Update Date | 01/31/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114096872 | NPI | - | NPPES |
CMM70719F | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 960001025 (California) | Primary |
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Sameday Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 Lincoln Blvd, #100, Venice, CA 90291 Phone: 310-807-1373 |